Factors Influencing the Incidence of Postpartum Blues During the COVID-19 Pandemic in Cimahi City

Abstract

Postpartum blues is a psychological disorder that can be experienced by postpartum mothers with symptoms of anxiety, sadness, crying easily, feeling sensitive and/or unstable, feeling incapable of caring for the baby and/or that she has made mistakes, disturbed sleep, and/or lack of appetite. Since December 2019, the novel coronavirus 2019 (COVID-19) has spread all over the world. The substantial associated morbidity and socioeconomic impacts have necessitated drastic measures on all continents, including national lockdowns, border closures and social distancing. These have impacted various fields and mental health problems in communities, including the mental health of postpartum mothers. The purpose of this study was to identify the factors that have influenced the incidence of postpartum blues during the COVID-19 pandemic in Cimahi City. This study used non-experimental descriptive research methods. The sample included 35 respondents and data were collected by using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire. The variables analyzed in this study were the characteristics of postpartum mothers such as age, education, occupation, parity, and the incidence of postpartum blues. The results showed that there were 15 mothers who experienced postpartum blues, including 53.33% of those over the age of 20. Postpartum blues occurred in 10 primiparous mothers (66.7%), 9 mothers with a junior high school education (60%), and 10 mothers who did not work (66.67%). Maternal age, education, occupational and parity had a significant influence on the incidence of postpartum blues in postpartum mothers during the COVID-19 pandemic. It is recommended that midwives increase knowledge about the importance of husband’s support in meeting the psychological needs of mothers to prevent the occurrence of postpartum blues.


Keywords: postpartum blues, age, parity, occupation, education level

References
[1] Laela S, Keliat BA, Mustikasari M. Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur. Care Jurnal Ilmiah Ilmu Kesehatan. 2018;6:26–35.

[2] Mursidin WOM, Ernawati D. Gambaran kejadian postpartum blues pada ibu postpartum di RS Pku Muhammadiyah Yogyakarta. Universitas ’Aisyiyah Yogyakarta; 2017.

[3] Kirana Y. Hubungan tingkat kecemasan postpartum dengan kejadian postpartum blues di rumah sakit dustira Cimahi. Journal Keperawatan BSI. 2015:3(1):25-37. https://doi.org/10.31311/.v3i1.150

[4] Liana P, Patricia V, Leawi C, Lenawi C. Prevalensi kejadian penyakit menular seksual (HIV, Hepatitis B, Hepatitis C, dan sifilis) pada wanita penjaja seks di Palembang. Sriwijaya Journal Medicine. 2018;1:101–107.

[5] Schiller CE, Meltzer-Brody S, Rubinow DR. The role of reproductive hormones in postpartum depression. CNS Spectrums. 2015;20:48–59.

[6] Cameron EE, Joyce KM, Delaquis CP, Reynolds K, Protudjer JLP, Roos LE. Maternal psychological distress & mental health service use during the COVID-19 pandemic. Journal Affect Disorder. 2020;276:765–774.

[7] Yuliana Y. Corona virus diseases (Covid-19): Sebuah tinjauan literatur. Wellness Healthy Magazine. 2020;2:187–192.

[8] Suzuki S. Psychological status of postpartum women under the COVID-19 pandemic in Japan. Journal Maternal-Fetal Neonatal Medicine Office Journal European Association Perinatal Medicine Federation Asian Ocean Perinatal Society Intensive Society Perinatal Obstettricians. 2020:35(9):1798-1800.

[9] Yuliani DIF, Yuliani F. Pengaruh faktor psikososial dan cara persalinan terhadap terjadinya post partum blues pada ibu nifas (Studi di ruang nifas RSUD R.A bosoeni mojokerto). Hosp. Majapahit Jurnal Ilmial Kesehatan Politekes Kesehatan MAJAPAHIT MOJOKERTO. 2014;6(1):1-67.

[10] Pratiwi K, Chasanah IN, Martuti S. Postpartum blues pada persalinan dibawah usia dua puluh tahun. Jurnal Psikologi. 2017;15:117–123.

[11] Saraswati DES. Faktor yang berpengaruh terhadap kejadian postpartum blues. Journal Health Science. 2018;11:130–139.

[12] Adila DR, Saputri D, Niriyah S. Pengalaman postpartum blues pada ibu primipara. Jurnal Ners Indones. 2019;9:156–162.

[13] Pariente G, Wissotzky Broder O, Sheiner E, Lanxner Battat T, Mazor E, Yaniv Salem S, Kosef T, Wainstock T. Risk for probable post-partum depression among women during the COVID-19 pandemic. Arch Womens Mental Health. 2020;23:767–773.

[14] Kurniasari D, Astuti YA. Hubungan antara karakteristik ibu, kondisi bayi dan dukungan sosial suami dengan postpartum blues pada ibu dengan persalinan SC di rumah sakit umum ahmad yani metro tahun 2014. Holistik Jurnal Kesehatan. 2015:9(3):115-125. https://doi.org/10.33024/hjk.v9i3.215